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HomeMy WebLinkAboutX2019-3674 - Permitst�ar�,4 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v • .2 Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3674 Project No : 0535-2019 Issued Date : 12/03/2019 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 616 POINSETTIA AVE NB Description: RETAINING WALL 5.5' HIGH X 42 LF INSIDE PIL & TEMP SHORING *MARKERS ON SITE* Legal Desc.: CORONA DEL MAR BLK 643 LOT 18 Owner: PAM CAPITAL MANAGEMENT INC Address: 13600 MARINA POINTE DR #1208 MARINA DEL REY CA 90292 Phone: Applicant: ENSIGN G ROBERT Address: 2214 PORT LERWICK PIL NEWPORT BEACH, CA 92660 Phone: 949-721-0736 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $10,000.00 Building Permit Fee: $966.00 Plan Check Fee: $1,282.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,737.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: OW NER/BLDR Address: HIDEKI IZUTSU Phone: Con State Lic: 0/8 Lic Expire: Bus Lic: Lic Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: 5' Front: 20' Left: 3' Right: 3' �Jr Architect: ENSIGN G ROBERT Address: 2214 PORT LERWICK PIL NEWPORT BEACH, CA 92660 Phone: 949-721-0736 State Lic:0006217 , Engineer: ROSS SCOTT WILLIAM • - ^ -- Address: 1800 E 16TH STREET #B SANTA ANA CA 92701 Phone: 714.835-2800 State Lic:C-045309 ^ _, Designer: Address: Phone: NO CONSTRUCTION NOISE Special Conditions: REV19-1881 Zone :NON THE WEEKEND $0.00 Planning Department - Fire Department ($552.00) Plan check Fee : $40.00 Fire Inspection: $0.00 $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,737.00 _ PUBLIC WORKS APPROVAL: PLAN CHECK BY: ( APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or i 'roved for the purpose of sale). I, as own^.r cf tLe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not app to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ f am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit,. I cannot legal sell P structure :hat I have built as an owner -builder if has not been constru ted in tirety by licensed contractors. I understand that a copy of the applicable law, Section 70 4 of the Busness and Pia,essions Cof'E, iS available upon request when t s applicati su Im d or t followi site:http://www.ieginfo.ca.gov/calaw.htmi. , Signature of 2r000rty Owner or Authorized Agent - _ Dat / LICENSED CONTRACTOR'S DEC LARAT Nf I h=reby affirra u,fder penalty of perjury that I a licensed under provision Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions de, and my license is in full force and effect. License Class License No Date Contractor Signature AfORKERS' COMPENSATION DECLARATION NNRNIN': FAILUR, . G SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, )erformance of the work for which this permit is issued. Policy No. :1I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior nsurance carrier and policy number are: carrier Policy Number Expiration Date Vame of Agent Phone # :1I certify that, in the perfor nce of the work for which his permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensation laws of California, and agree hat, if I should become su ect to the worke ' co anon provisions of Secticn 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Da L 7ECLARATIO I RE C N UCTI LE G AGENCY hereby affirm Under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code). _ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I hav provided is correct. 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